Question to the Department of Health and Social Care:

To ask His Majesty's Government what steps they are taking to embed multi-modal 'prehabilitation' and rehabilitation services, in particular (1) exercise, (2) nutrition, and (3) wellbeing support, into standard NHS cancer care pathways in England.

The Department and NHS England are taking a number of steps to support the National Health Service to deliver cost-effective, lifesaving prehabilitation and rehabilitation services.

Local planning for prehabilitation and rehabilitation services is a matter for NHS trusts and Cancer Alliances to take forward in their local areas. NHS England has highlighted the positive impact of efficient prehabilitation and rehabilitation on cancer outcomes and the potential to lead to cost savings. The ‘PRosPer’ Cancer Prehabilitation and Rehabilitation learning programme, launched in partnership between NHS England and Macmillan Cancer support, aims to support allied health professionals and the wider healthcare workforce in developing their skills in providing prehabilitation and rehabilitation, including in areas such as exercise, nutrition, and wellbeing support.

The Government and NHS England recognise that for most people living with long term conditions, including people living with cancer, physical activity is safe and can support recovery after treatment and promote quality of life. The NHS is committed to ensuring that all cancer patients in England have access to personalised care, including a needs assessment, a care plan, and health and wellbeing information and support.